Individual provider Active NPI

Sooin Lee, DDS

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1417471160
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16654 Issued in MD
Practice address
923 Bonifant St Unit 1
Silver Spring, MD 20910
Phone
(301) 565-8889
NPI assigned
Aug 2, 2017
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16654 MD Primary

Addresses

Primary practice location

923 Bonifant St Unit 1
Silver Spring, MD 20910

Mailing address

100 1St St Apt 214
Rockville, MD 20851-1347
Phone (703) 388-6324

Other practice location 1

6014 Azle Ave # 100
Lake Worth, TX 76135-2603
Phone (817) 405-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16654MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleman & Horng LLC PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1417471160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1ST ST APT 214",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511347",
            "telephone_number": "703-388-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 BONIFANT ST UNIT 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-565-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6014 Azle Ave # 100",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "TX",
            "postal_code": "761352603",
            "country_code": "US",
            "telephone_number": "817-405-2564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.